TEMPESTT BLACK
NPI 1649728528
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since September 20, 2016PECOS EnrolledAccepts Medicare Assignment
411 LAFAYETTE ST, NEW YORK, NY 10003(315) 576-5694 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Mar 24, 2021, Sep 20, 2016 (3 updates tracked since 2016).

About Tempestt Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEMPESTT BLACK (NPI 1649728528) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (403386) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Williamson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1649728528
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTEMPESTT BLACK
Location Address411 LAFAYETTE STNew York, NY 10003-7032
Mailing Address117 Constance Way WRochester, NY 14612-2749 · (315) 576-5694
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 20, 2016
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1649728528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NY · 403386 Licensed in MA · RN2385688 Licensed in WA · AP61498452
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2385688 (MA), 61491766 (WA), 22703430 (NY)
411 LAFAYETTE ST, New York, NY 10003

Secondary Practice Location 1

Location 16406 Whispering Woods DrWilliamson, NY 14589-9002 · Phone (315) 576-5694

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tempestt Black is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002303468
PECOS Enrollment IDI20251017002560
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
411 LAFAYETTE ST, SUITE # 638
NEW YORK, NY 10003
Social Worker (Clinical)
411 LAFAYETTE ST, SUITE 638
NEW YORK, NY 10003
Social Worker (Clinical)
411 LAFAYETTE ST, SUITE # 638
NEW YORK, NY 10003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tempestt Black's NPI number?

The NPI number for Tempestt Black is 1649728528. It was assigned to this individual provider in the NPPES registry on September 20, 2016.

Where is Tempestt Black located?

Tempestt Black practices at 411 Lafayette St, New York, NY 10003. The listed phone number is (315) 576-5694.

What is Tempestt Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tempestt Black enrolled in Medicare?

Yes. Tempestt Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tempestt Black was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.